The 4 Pillars of Advanced Practice

The 4 pillars of advanced practice are discussed, along with key tips on how to evidence the achievement of advanced level working linked to practice, leadership, education and research. This presentation will be helpful for Trainee Advanced Nurse Practitioners/ Trainee Advanced Clinical Practitioners and health care professionals aspiring to these roles.
I’m passionate about nurses’ career progression and I’m sharing everything I’ve learnt over my 33 years as a Registered Nurse and Registered Nurse Tutor. I hope you find my videos useful. Let me know if there are any topics you want covering in the future and look out for new video uploads on Sundays.
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📚 My books:
📚 How to Prepare for Interviews and Develop Your Career as a Nurse or Midwife: amzn.to/3xc4Qkb
📚 How to Thrive as a Newly Registered Nurse: amzn.to/45wecqf
📚 Other recommended books:
📚 Advanced Practice Nursing: Essential Knowledge for the Profession: amzn.to/472qF50
📚 Advanced Clinical Practice at a Glance (At a Glance (Nursing and Healthcare)): amzn.to/3QpSCOO
📚 Advanced Nursing Practice: Changing Healthcare in a Changing World: amzn.to/3Mc0Ojc
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Music from KZbin Audio Library
Music by: Dan Lebowitz
Track Title: After You

[@De-Zay]

They said third time is a charm,Am officially a NP nurse now. To all my repeat test taker I pray y'all make it some day but will advise you keep reading and believing in yourself ☺️🎉

[@carolforde-johnston]

Agree Liam, great advice 👍

[@thembiq6598]

Thank you so much, l had no understanding of the 4 pillars of ANNP till l found you ❤

[@carolforde-johnston]

Thank you Thembi I'm glad it helped 😊

[@ASilver526]

Thank you for the videos. I have an interview this Friday for an ACP role. I have been rejected 3 times previously for this role. I must be honest my, confidence has been shot since. Your videos are helping to build myself back up so thank you.

[@carolforde-johnston]

I'm glad they are helping Adam, I really hope the interview goes well for you. 🤞🤞🤞 It took me 3 interviews for my Team Leader role. Try to be confident in your knowledge and skills, you can do it! 🍀

[@ASilver526]

@@carolforde-johnston 🙏 thank you

[@ASilver526]

I got the job BTW. I start as a TACP this September 🎉

[@carolforde-johnston]

@@ASilver526 That's fantastic I'm really glad you got the job, well done!!! Hope it all goes well for you. 😍🍀

[@swarajjoye]

Hi Carol, great video, very educational and helpful.

[@carolforde-johnston]

Thank you for taking the time to comment, I'm glad you found the video helpful.

[@swarajjoye]

Hi Carol, I could do with some help and suggestion please. I also watched your video on SMART goals, again was very helpful. I'm currently formulating a PDP using the SMART criteria. I have to pick up one capability from each pillar. First one is from the Clinical Practice pillar; initiate, evaluate and modify a range of intervention which may include prescribing medicines, therapies, life style advice and care. How do I write this up using the SMART criteria

[@carolforde-johnston]

@@swarajjoye I'm afraid I'm not aloud to help with assignments or capability assessments but I would say keep it simple and related to your role when you apply SMART criteria. Make sure you get assessor/ lecturer to check your plan. Good luck with it.

[@humansnotai4912]

Don't forget about us poor Advanced Paramedic Practitioners with MSc and PhDs ;0)

[@Nothmannhs]

Did the advanced practice start in 1997? If yes then why the role is still not well established nationally ?

[@carolforde-johnston]

The role is used across emoloyers but there is a lack of standardisation currently on banding/role requirements. The NMC is looking at national regulation linked to MSc. the reason for lack of standardisation is the de-centralisation of the NHS and the internal market created in the UK health system in 1990s whereby nurse managers were budget holders and could create job titles.

[@carolforde-johnston]

In England we also have a new Advanced Practice Centre that has set a capability framework for advanced practice too, which is setting a benchmark for all our ANPs to address the differences between employers.

[@shellahussain7416]

Please advise what the source for nmc new standards for practice by 2025 is? Thank you?

[@carolforde-johnston]

Hi Shella There are a few you can use as references, it is all currently under consultation. You could use this reference regarding the debate in nursing: www.nursinginpractice.com/latest-news/nmc-to-consider-regulating-advanced-practice-this-year/

[@carolforde-johnston]

Or this indepent report regarding regulation of advanced practice: www.nmc.org.uk/globalassets/sitedocuments/councilpapersanddocuments/council-2023/advanced-practice-report-final.pdf

[@terenceoconnor1584]

Great video! Should surgical care practitioners be credentialed against the 4 pillars of advanced practice as SCPs fall under the MAPS structure.

[@carolforde-johnston]

Thank you Terence. My understanding is that currently (2023) SCPs fall under MAPs and complete 2-3 year MSc that must be an accredited training programme for SCPs. The programme must be accredited by the Royal College of Surgeons (RCS). If you're a nurse you keep registration with NMC for non-extended role & you follow RCS professional stds when working in advanced surgical role. After training you're expected to maintain competence defined by RCS. The role is not led by the 4 Pillars as it's focused on RCS stds but you will be leading, educating, researching and advancing your skills as per the 4 pillars. I know a couple of SCPs if you are interested in developing into SCP role who love the role. If you want me to connect you to them to ask questions, just DM me on Twitter or Instagram. I hope that helps.

[@MillieMillie33]

Excellent session, thank you Carol.

[@carolforde-johnston]

Thank you for taking the time to give positive feedback 😊

[@anuradhagurung8829]

Hi Carol, thank you for your hard work to educate us. Have you prepared the information for Clinical nurse practitioner ethical/professional issues already? May I request to educate on this topic please. 🙏💚😃

[@carolforde-johnston]

Thank you for the feedback Anuradha. I'll have to do some up to date research but can have a look for the future 😊

[@ddonna2710]

Thank you for this information, very informative Great tips and signposting

[@carolforde-johnston]

Thank you Donna, I'm glad it helps 😊

[@bettycolls7384]

Really great video in prepping for interviews. Thanks!

[@carolforde-johnston]

Thank you for taking the time to give feedback Betty and I'm really glad it helps with prepping your interview, good luck in your interview.

[@LornaConnolly-uu2kr]

How do I find out if there are any journal clubs or resources to influence practice locally? TIA 😊

[@carolforde-johnston]

Just ask local managers, Matron, clinical educators or education lead, they should know Lorna. Also you should see them advertised on email or on a communication board if there are any running.